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2008 | 80 | 9 | 435-440

Article title

New Technologies in Surgery: Diagnosis and Treatment of Complications of Mivat (Minimally Invasive Video-Assisted Thyroidectomy)

Content

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Languages of publication

EN

Abstracts

EN
The aim of the study was to present evolution of the technique of minimally invasive video-assisted thyroidectomy, its advantages, limitations and possible complications related to the method.Material and methods. Minimally invasive video-assisted thyroidectomy (MIVAT) is characterized by a unique central incision of 1.5 cm, 2 cm above the sternal notch. The operative space is maintained by means of an external retraction: no gas insufflation is utilized. Potential complications of Minimally Invasive Video-assisted Thyroidectomy (MIVAT) are roughly the same as in open surgery.Results. Since June 1998 to March 2008 1524 patients underwent a minimally invasive video-assisted thyroidectomy. Complications were represented by transient monolateral recurrent nerve palsy in 38 cases (2.4%), definitive monolateral recurrent nerve palsy in 18 cases (1.1%), bilateral transient recurrent nerve palsy in 2 cases. Fifty five patients exhibited a hypoparathyroidism, which corresponds to 5.1% of the 1059 total thyroidectomies performed, but only 5 complained of a permanent hypocalcemia which necessitated a substitutive therapy, thus reducing the rate of permanent hypoparathyroidism to 0.4%. We registered in two cases of postoperative bleeding requiring re-operation; wound sepsis occurred in three cases.Conclusions. MIVAT unlike other minimally invasive endoscopic techniques proposed for thyroidectomy, reproduces the standard operation and does not introduce any modification of the traditional technique and in our series total complication rate resulted similar to that described in literature for standard thyroidectomy in large series. As long as these criteria are carefully respected one need not to be concerned that these techniques might increase the complication rate.

Year

Volume

80

Issue

9

Pages

435-440

Physical description

Dates

published
1 - 9 - 2008
online
25 - 9 - 2008

Contributors

author
  • Department of Surgery, University in Pisa, Italy
  • Department of Surgery, University in Pisa, Italy
author
  • Department of Surgery, University in Pisa, Italy

References

  • Fewins J, Simpson CB, Miller FR: Complications of thyroid and parathyroid surgery. Otolaryngol Clin North Am 2003; 36(1): 189-206, x. Review.[Crossref]
  • Ortega J, Sala C, Flor B et al.: Efficacy and cost-effectiveness of the UltraCision harmonic scalpel in thyroid surgery: an analysis of 200 cases in a randomized trial. J Laparoendosc Adv Surg Tech A 2004; 14(1): 9-12.
  • Cordon C, Fajardo R, Ramirez J et al.: A randomized, prospective, parallel group study comparing the Harmonic Scalpel to electrocautery in thyroidectomy. Surgery 2005; 137(3): 337-41.
  • Gao L, Xie L, Li H et al.: Using ultrasonically activated scalpels as major instrument for vessel dividing and bleeding control in minimally invasive video-assisted thyroidectomy. Zhonghua Wai Ke Za Zhi 2003; 41(10): 733-37.
  • Shemen L: Thyroidectomy using the harmonic scalpel: analysis of 105 consecutive cases. Otolaryngol Head Neck Surg 2002; 127(4): 284-88.
  • Miccoli P, Berti P, Raffaelli M et al.: Impact of harmonic scalpel on operative time during video-assisted thyroidectomy. Surg Endosc 2002; 16(4): 663-66. Epub 2001 Dec 10.[Crossref]
  • Siperstein AE, Berber E, Morkoyun E: The use of the harmonic scalpel vs conventional knot tying for vessel ligation in thyroid surgery. Arch Surg 2002; 137(2): 137-42.[PubMed]
  • Meurisse M, Defechereux T, Maweja S et al.: Evaluation of the Ultracision ultrasonic dissector in thyroid surgery. Prospective randomized study Ann Chir 2000; 125(5): 468-72.
  • Miccoli P, Berti P, Raffaelli M et al.: Minimally invasive video assisted thyroidectomy. Am J Surg 2001; 181: 567-70.
  • Mourad M, Pugin F, Elias B et al.: Contributions of the video-assisted approach to thyroid and parathyroid surgery. Acta Chir Belg 2002; 102: 323-27.
  • Miccoli P, Bellantone R, Mourad M et al.: Minimally invasive video assisted thyroidectomy: a multi institutional experience. World J Surg 2002; 26: 972-75.[Crossref]
  • Gagner M: Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg 1996; 83: 875 letter.[Crossref][PubMed]
  • Huscher CS, Choidini S, Napolitano C et al.: Endoscopic right thyroid lobectomy. Surg Endosc 1997; 11: 877 (letter).
  • Miccoli P, Berti P, Conte M et al.: Minimally invasive surgery for small thyroid nodules: preliminary report. J Endocrinol Invest 1999; 22: 849-51.
  • Ohgami M, Ishii S, Ohmori T et al.: Scarless endoscopic thyroidectomy: breast approach better cosmesis. Surg Laparosc Endosc Percutan Tech 2000; 10: 1-4.[Crossref]
  • Ikeda Y, Takami H, Sasaki Y et al.: Endoscopic neck surgery by the axillary approach. J Am Coll Surg 2000; 191: 336-40.
  • Shimizu K, Akira S, Jasmi AY et al.: Video-assisted neck surgery: endoscopic resection of thyroid tumors with a very minimal neck wound. J Am Coll Surg 1999; 188(6): 697-703.
  • Gagner M, Inabnet WB: Endoscopic thyroidectomy for solitary thyroid nodules. Thyroid 2001; 11: 161-63.[PubMed][Crossref]
  • Gottlieb A, Sprung J, Zheng XM et al.: Massive subcutaneous emphysema and severe hypercarbia in a patient during endoscopic transcervical parathyroidectomy using carbon dioxide insufflation. Anesth Analg 1997 May; 84(5): 1154-56.
  • Ochiai R, Takeda J, Noguchi J et al.: Subcutaneous carbon dioxide insufflation does not cause hypercarbia during endoscopic thyroidectomy. Anesth Analg 2000; 90(3): 760-62.[Crossref]
  • Yeung GH: Endoscopic surgery of the neck: a new frontier. Surg Laparosc Endosc 1998; 8(3): 227-32.[Crossref]
  • Shimizu K, Tanaka S: Asian perspective on endoscopic thyroidectomy - a review of 193 cases. Asian J Surg 2003; 26(2): 92-100.
  • Ohki J, Nagai H, Hyodo M et al.: Hand-assisted laparoscopic distal gastrectomy with abdominal wall-lift method. Surg Endosc 1999; 13(11): 1148-50.[Crossref]
  • Bergamaschi R, Becouarn G, Ronceray J et al.: Morbidity of thyroid surgery. Am J Surg 1998; 176(1): 71-75.
  • Rosato L, Avenia N, Bernante P et al.: Complications of thyroid surgery: analysis of a multicentric study on 14 934 patients operated on in Italy over 5 years. World J Surg 2004; 28(3): 271-76. Epub 2004 Feb 17.
  • Goncalves Filho J, Kowalski LP: Surgical complications after thyroid surgery performed in a cancer hospital. Otolaryngol Head Neck Surg 2005; 132(3): 490-94.
  • Zambudio AR, Rodriguez J, Riquelme J et al.: Prospective study of postoperative complications after total thyroidectomy for multinodular goiters by surgeons with experience in endocrine surgery. Ann Surg 2004; 240(1): 18-25.
  • Shen WT, Kebebew E, Duh QY et al.: Predictors of airway complications after thyroidectomy for substernal goiter. Arch Surg 2004; 139(6): 656-59; discussion 659-60.

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_v10035-008-0063-9
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